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  1. PHASE II: INTERMEDIATE POST-OP (4-6 WEEKS AFTER SURGERY) Rehabilitation Goals. Gradual increase to full ROM (goal of FULL motion by week 4-6) Promote healing of repaired tissue. Regain and improve muscular strength- slow integration of exercises.

  2. UCL repairs with internal bracing is typically performed when there is a complete or partial tear at the proximal or distal insertions or a partial midsubstance - tear and there is good tissue quality of the UCL.

  3. Ulnar collateral ligament reconstruction (UCLr) is commonly seen in a throwing athlete; however, it is also popular in gymnasts and javelin throwers. Beyond regaining elbow ROM and focusing on the shoulder during rehab, a comprehensive approach to treat the entire kinetic chain is vital.

  4. Many different factors influence the post-operative UCL reconstruction rehabilitation outcomes, including whether a palmaris longus or gracilis graft was performed and individual co-morbidities. It is recommended that clinicians collaborate closely with the referring physician.

  5. UCL Non-Operative Treatment Protocol Sprains or Partial UCL Tears For any questions please contact Carolyn M Hettrich, MD at (617)525-3427. Hinged elbow brace for first 6 weeks to protect healing tissue. Restore ROM while wearing brace during this time. Week 0-3 NSAIDs, Ice, Compression, E-stim for pain modulation and inflammation

  6. Thumb Active Exercises. Pause and hold each of these exercises at the end of the range you are trying to achieve. 1.1. Thumb IP blocking. Brace thumb below tip joint. Bend joint. Repeat 8 – 10 times, 3 – 4 times per day. 3. Thumb Extension/Flexion.

  7. Total Recovery time is between 4-6 months depending on factors such as injury severity, patient sport/activity/age and type of repair. Adherence to rehab protocol guidelines and restrictions is critical in avoiding re-injury or failures. Immobilization. Initial post-op splint is worn continuously.

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